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International Urogynecology Journal

Emily Claire Carter, Rufus Cartwright, Elizabeth Goodall, Simon Jackson, Natalia Price
No abstract text is available yet for this article.
February 19, 2019: International Urogynecology Journal
Noa Mevorach Zussman, Noa Gonen, Michal Kovo, Hadas Miremberg, Jacob Bar, Alexander Condrea, Shimon Ginath
INTRODUCTION AND HYPOTHESIS: Protracted postpartum urinary retention (P-PUR) is a rare puerperal complication of overt urinary retention that proceeds beyond the 3rd postpartum day. Long-term consequences of P-PUR are poorly reported. The objective of the study was to compare the long-term outcome of patients with P-PUR with a matched control group, using a validated pelvic floor distress questionnaire. METHODS: All medical files of women diagnosed with P-PUR between 2005 and 2016 were reviewed...
February 19, 2019: International Urogynecology Journal
Jiayi Liu, Shu Qi Tan, How Chuan Han
INTRODUCTION AND HYPOTHESIS: Pelvic floor dysfunction is a common condition which can lead to distressing consequences such as urinary incontinence (UI), pelvic organ prolapse (POP) and fecal incontinence (FI). Pregnancy is a known major risk factor. This study aims to assess the level of knowledge about pelvic floor disorders among pregnant women in our local population. METHODS: A cross-sectional study was conducted in a population of pregnant women in their third trimester...
February 19, 2019: International Urogynecology Journal
Helen Louise Preston, Zarko Alfirevic, Gillian Elizabeth Fowler, Steven Lane
INTRODUCTION AND HYPOTHESIS: Obstetric anal sphincter injury (OASI) is a significant complication of vaginal delivery. Water birth has become a popular preference for women giving birth in the UK, however, there is limited data on the risk of OASI following water birth. Our aim was to assess OASI risk in low-risk women giving birth in water without medical intervention compared with on land and to create a prognostic model for OASI prediction. METHODS: This was a retrospective study of 15,734 low-risk women giving birth by spontaneous vaginal delivery between January 2008 and October 2014 in a midwifery-led unit (MLU)...
February 19, 2019: International Urogynecology Journal
Jennifer C Thompson, Sara B Cichowski, Rebecca G Rogers, Fares Qeadan, Julissa Zambrano, Cynthia Wenzl, Peter C Jeppson, Gena C Dunivan, Yuko M Komesu
INTRODUCTION AND HYPOTHESIS: Our aim was to determine whether postoperative telephone follow-up was noninferior to in-person clinic visits based on patient satisfaction. Secondary outcomes were safety and clinical outcomes. METHODS: Women scheduled for pelvic surgery were recruited from a single academic institution and randomized to clinic or telephone follow-up. The clinic group returned for visits 2, 6, and 12 weeks postoperatively and the telephone group received a call from a nurse at the same time intervals...
February 19, 2019: International Urogynecology Journal
Margarita Manresa, Ana Pereda, Eduardo Bataller, Carmen Terre-Rull, Khaled M Ismail, Sara S Webb
INTRODUCTION AND HYPOTHESIS: Perineal pain and dyspareunia are experienced by women undergoing a vaginal birth that can have short and longer term physical and psychological morbidities. This review aimed to determine the incidence of perineal pain and dyspareunia following spontaneous vaginal birth (SVB) with intact perineum, first and second-degree perineal trauma or episiotomy. METHODS: Searches of MEDLINE, EMBASE, CINAHL, AMED and MIDIRS (inception - December 2017) were undertaken with selection criteria of any study evaluating the effect of intact perineum, first- or second-degree perineal trauma on perineal pain or dyspareunia in women with SVB...
February 15, 2019: International Urogynecology Journal
Giuseppe Ciravolo, Federico Ferrari, Valentina Zizioli, Paolo Donarini, Sara Forte, Enrico Sartori, Franco Odicino
INTRODUCTION AND HYPOTHESIS: A 42-year-old female presented with a 12-cm mass bulging the anterior vaginal wall and causing urgency urinary incontinence and bulk symptoms. METHODS: Imaging showed a tumor originating from the dorsal and cranial part of the urethra and developing in the vesicouterine space and vesicovaginal septum, dislocating the bladder ventrally and the uterus cranial-dorsally. RESULTS: Tranvaginal biopsy showed a benign leiomyoma...
February 12, 2019: International Urogynecology Journal
Kate V Meriwether, Ethan M Balk, Danielle D Antosh, Cedric K Olivera, Shunaha Kim-Fine, Miles Murphy, Cara L Grimes, Ambereen Sleemi, Ruchira Singh, Alexis A Dieter, Catrina C Crisp, David D Rahn
INTRODUCTION AND HYPOTHESIS: We aimed to systematically review the literature on pelvic organ prolapse (POP) surgery with uterine preservation (hysteropexy). We hypothesized that different hysteropexy surgeries would have similar POP outcomes but varying adverse event (AE) rates. METHODS: MEDLINE, Cochrane, and databases were reviewed from inception to January 2018 for comparative (any size) and single-arm studies (n ≥ 50) involving hysteropexy...
February 11, 2019: International Urogynecology Journal
Ixora Kamisan Atan, Shek Ka Lai, Suzanne Langer, Jessica Caudwell-Hall, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Forceps delivery and length of second stage are risk factors of maternal birth trauma, i.e., levator ani muscle (LAM) avulsion and anal sphincter trauma. The cesarean section (CS) rate has recently become the key performance indicator because of its increase worldwide. Attempts to reduce CS rates seem to have led to an increase in forceps deliveries and longer second stages. This study aimed to determine the association between variations in obstetric practice (between hospitals) and maternal birth trauma...
February 11, 2019: International Urogynecology Journal
Natalia Martinho, Talia Friedman, Friyan Turel, Kirsty Robledo, Cassio Riccetto, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Birthweight seems to be a risk factor for levator ani muscle (LAM) avulsion and a predictive factor for pelvic organ prolapse (POP). Most trauma seems due to first vaginal birth. METHODS: One thousand one hundred twenty-five women with at least two vaginal deliveries underwent a physician-directed interview, followed by clinical examination (digital palpation and Pelvic Organ Prolapse Quantification-POPQ) and 4D translabial ultrasound...
February 8, 2019: International Urogynecology Journal
Katherine E Husk, Lauren D Norris, Marcella G Willis-Gray, Kristy M Borawski, Elizabeth J Geller
INTRODUCTION AND HYPOTHESIS: We assessed variations in sacral anatomy and lead placement as predictors of sacral neuromodulation (SNM) success. Based solely on bony landmarks, we also assessed the accuracy of the 9 and 2 protocol for locating S3. METHODS: This is a retrospective cohort study performed from October 2008 to December 2016 at the University of North Carolina at Chapel Hill. Fluoroscopic images were used to assess sacral anatomy and lead location. Success was defined as >50% symptom improvement after stage I and clinical response at most recent follow-up...
February 7, 2019: International Urogynecology Journal
Rejane Lis Menegaz Ströher, Marair Gracio Ferreira Sartori, Claudia Cristina Takano, Maita Poli de Araújo, Manoel João Batista Castelo Girão
INTRODUCTION: Metabolic syndrome (MS) is a disease of multifactorial etiology characterized by increased waist circumference, elevated triglyceride levels, decreased HDL cholesterol levels, high blood pressure and hyperglycemia. The objective of this study was to compare the frequency of MS in patients with and without stress urinary incontinence (SUI). METHODS: The components of MS were evaluated in 85 women with SUI seen at the Urogynecology and Vaginal Surgery Sector of the Gynecology Department of Universidade Federal de São Paulo (UNIFESP-EPM) and in 108 women without SUI seen at the General Gynecology Clinic of the Gynecology Department of UNIFESP-EPM...
February 5, 2019: International Urogynecology Journal
Theresa Reischer, Sukirthini Balendran-Braun, Sandra Liebmann-Reindl, Berthold Streubel, Wolfgang Umek, Heinz Koelbl, Marianne Koch
INTRODUCTION AND HYPOTHESIS: Previous studies have indicated a hereditary component of stress urinary incontinence; however, evidence on candidate genes or single-nucleotide polymorphisms (SNPs) is scarce. We hypothesize a genetic association of female stress urinary incontinence based on significant differences of the urinary and serum proteomic pattern in the identical study population. METHODS: Case-control study of 19 patients and 19 controls. We searched for known SNPs of SUI candidate genes (COL1A1, MMP1, SERPINA5, UMOD) in the database of short genetic variations and PubMed...
February 4, 2019: International Urogynecology Journal
Franca Natale, Ester Illiano, Alessandro Zucchi, Matteo Balzarro, Chiara La Penna, Elisabetta Costantini
INTRODUCTION AND HYPOTHESIS: To assess whether detrusor underactivity (DU) is a risk factor for voiding dysfunction (VD) after transobturator tape (TOT) and if a detrusor pressure at maximum flow (PdetQmax) value predicts postoperative VD in DU patients. Also, we examined uncomplicated patients for postoperative VD. METHODS: This is a prospective long-term study on SUI patients who underwent TOT. Exclusion criteria were preoperative POP stage ≥ 2, previous anti-incontinence surgery and comorbidities...
February 4, 2019: International Urogynecology Journal
Yidi Ma, Tao Xu, Ye Zhang, Meng Mao, Jia Kang, Lan Zhu
INTRODUCTION AND HYPOTHESIS: The objective of this study was to translate the short version of the Pelvic Floor Distress Inventory (PFDI-20) into Chinese and to evaluate its psychometric properties in Chinese women with symptomatic pelvic floor dysfunction according to the Consensus-Based Standards for the Selection of Health Status Measurement Instruments (COSMIN) checklist. METHODS: Between October 2017 and May 2018, a cross-sectional analysis of the clinical data of 126 patients who met the inclusion criteria was performed...
February 4, 2019: International Urogynecology Journal
Sandra Zwolsman, Arnoud Kastelein, Joost Daams, Jan-Paul Roovers, B C Opmeer
INTRODUCTION AND HYPOTHESIS: There is increased demand for an international overview of cost estimates and insight into the variation affecting these estimates. Understanding of these costs is useful for cost-effectiveness analysis (CEA) research into new treatment modalities and for clinical guideline development. METHODS: A systematic search was conducted in Ovid MEDLINE & other non-indexed materials and Ovid Embase for articles published between 1995 and 2017...
February 4, 2019: International Urogynecology Journal
Ester Illiano, Franca Natale, Antonella Giannantoni, Marilena Gubbiotti, Matteo Balzarro, Elisabetta Costantini
INTRODUCTION AND HYPOTHESIS: The aim of this study was to evaluate the functional outcomes and urodynamic findings after laparoscopic sacrocolpopexy (LSC) in patients with stages II-IV pelvic organ prolapse (POP). METHODS: In this single-center prospective study, we evaluated 63 women (mean age 62.5 ± 7.5 years) women with symptomatic and advanced POP (stage II-IV) who underwent LSC without concomitant anti-incontinence surgery. The preoperative evaluation incuded history, clinical examination, and urodynamic testing...
February 2, 2019: International Urogynecology Journal
Adolf Lukanović
No abstract text is available yet for this article.
February 2, 2019: International Urogynecology Journal
Sanjay Sinha
No abstract text is available yet for this article.
February 1, 2019: International Urogynecology Journal
Victoria C S Scott, Janine L Oliver, Shlomo Raz, Ja-Hong Kim
INTRODUCTION AND HYPOTHESIS: Pelvic reconstructive surgery is increasingly being performed with autologous grafts to avoid complications of synthetic mesh and improve the durability of a native tissue repair. Autologous fascia lata (AFL) provides a reliable source of robust connective tissue to improve surgical outcomes. We present our technique and initial experience with performing robotic sacrocolpopexy (RSC) augmented with AFL. METHODS: A retrospective review was conducted of patients who underwent RSC with AFL between January 2015 and November 2017...
February 1, 2019: International Urogynecology Journal
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